9/2/21 Flashcards
_______________ is a treatment option for aspiration pneumonia in patients with a penicillin allergy.
Clindamycin
What are three organisms responsible for “atypical” pneumonia?
Mycoplasma, Chlamydia, and Legionella.
Which medications should be avoided in patients with Wolff-Parkinson-White syndrome who develop a wide complex irregular tachydysrhythmia requiring treatment?
Adenosine
amiodarone
beta-blockers
calcium channel blockers
pain on ulnar wrist deviation with thumb in fist
aka Finkelstein test
de Quervain Tenosynovitis
Which laboratory test is the most useful in helping a clinician differentiate a child with moderate to severe dehydration from mild dehydration?
The serum bicarbonate is the most useful laboratory test to assess the degree of dehydration in children
Clarithromycin and erythromycin are not recommended for infants younger than 1 month because their use has been associated with increased risk of ___________________
infantile hypertrophic pyloric stenosis
What is the most common cause of cardiac arrest in pediatric patients?
Hypoxia.
Bilateral facet dislocation
- unstable cervical spine injury
- anterior displacement >50% of the anteroposterior diameter of the vertebral body.
- severe neurologic deficits common
Clay-shoveler fracture
stable cervical spine injury defined as a spinous process fracture.
Jefferson fracture
- unstable cervical spine injury
- fractures of the anterior and posterior arches of C1
- caused by axial forces
flexion teardrop fracture
- Unstable
- Ligamentous disruption
- Severe flexion force
- Anterior displacement of a wedge-shaped fragment (teardrop)
How common is vision loss in patients with idiopathic intracranial hypertension?
About 10% of patients will go on to lose their sight.
What are the general cutoffs for
abnormal vitals in a
newborn/infant?
Normal SBP = Age x 2 + 70
Pt is SICK if
SBP < 60
RR > 60
HR > 180
Review Salter-Harris classification
for pediatric fractures
“SALTR” describes relationship to epiphyseal plate
I: Straight across physis.
II: Above (physis and proximal bone).
III: Lower (physis and distal bone).
IV: Through (proximal, physis, and distal).
V: Rammed at epiphyseal plate level.
I and V can have normal XR, II is most common.
What is the appropriate energy
level for pediatric cardioversion
and defibrillation?
0.5-1 J/kg for cardioversion 2 J/kg for defibrillation
